Kristen Alexandria Widmayer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12270 Issued in NC

Practice address

147 Hwy 24
Hestron Plaza, Suite 102
Morehead City, NC 28557

Phone

(252) 726-4000

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• QRM Plus Florida LLC

  • Physical Therapist
  • Clearwater, FL
  • NPI 1851061394
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1124355433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570158",
            "telephone_number": "252-726-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 HWY 24",
            "address_2": "HESTRON PLAZA, SUITE 102",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-726-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMAYER",
        "first_name": "KRISTEN",
        "middle_name": "ALEXANDRIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Goodman Weston, MD
• John Jennings Wheary, PA-C
• Katie L White, NP
• Kelley Leigh Whitesell, LCSWA
• Zachary Ross Whitley, RBT
• Harleigh Wiggins
• Wildwood Fire and Rescue Inc.
• Lauren Marie Willey, PA-C
• William S. Harvey III Dds10 PLLC
• William S. Harvey, III DDS2

• Physical Therapist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.